Provider Demographics
NPI:1093235210
Name:MARPO, ALICIA FLOR (MSPSY, LMFT)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:FLOR
Last Name:MARPO
Suffix:
Gender:F
Credentials:MSPSY, LMFT
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:
Other - Last Name:FLOR ALONSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1551
Mailing Address - Street 2:
Mailing Address - City:LOOMIS
Mailing Address - State:CA
Mailing Address - Zip Code:95650-1551
Mailing Address - Country:US
Mailing Address - Phone:925-271-9324
Mailing Address - Fax:
Practice Address - Street 1:9260 ALCOSTA BLVD
Practice Address - Street 2:BLDG. A, UNIT A5
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583
Practice Address - Country:US
Practice Address - Phone:925-577-4732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA123294106H00000X
101Y00000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program